PMID: 15241306Jul 9, 2004Paper

The effect of early motion on tibial tunnel widening after anterior cruciate ligament replacement using hamstring tendon grafts

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Michael E HantesH H Paessler

Abstract

The purpose of this study was to evaluate the hypothesis that early motion increases tibial tunnel enlargement in patients who underwent anterior cruciate ligament (ACL) replacement with hamstring autograft. Cohort analytic study. All patients in this study had received a doubled semitendinous and gracilis graft. Grafts were secured in place with an implant-free technique. Two groups of patients were evaluated. Group A consisted of 35 patients who underwent isolated ACL replacement and whose rehabilitation protocol included early motion. Group B consisted of 20 patients who underwent combined arthroscopic meniscal repair and ACL replacement. Partial weight bearing and restriction of range of motion for 6 weeks was recommended for these patients. The only 2 variables between the groups were the meniscal repair and the postoperative rehabilitation. Patients were evaluated clinically and radiographically at 3, 6, and 12 months postoperatively. After correction for radiographic magnification, the tibial tunnel was measured at distal (T1), middle (T2), and proximal (T3) locations on both anteroposterior and lateral views. At 1-year follow-up evaluations, tunnel enlargement was significantly higher in the group with early motion, in ...Continue Reading

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